title: [Clonal analysis in cells using PCR and laser microdissection].
abstract: Clonality represents one of the hallmarks of neoplastic cell growth. X-chromosomal inactivation patterns have been used to determine clonality in various tumors. This approach is limited by admixture of polyclonal non-tumor stroma cells among which the monoclonal proliferation may be missed. In order to overcome this limitation, we combined a sensitive PCR based DNA analysis with a highly selective microdissection technique using a laser beam. In sections of intraductal mammary carcinomas tumor cell complexes of at least 100 cells were isolated by removing the surrounding stroma by laser irradiation. Thereby, tumor cells could be isolated without contaminating non-neoplastic elements. Clonality in these cells was determined using two X-chromosomal polymorphic sites-phosphoglycerate kinase 1 (PGK1) and human androgen receptor (HUMARA). Control experiments could show the polyclonal nature of the surrounding tissue. Moreover, complete destruction of DNA by laser irradiation was assured. The technique requires a certain amount of cells and DNA in order to avoid artefacts that result from preferential amplification of exclusively one X-chromosomal allele in small samples. We conclude that combination of laser-microdissection with PCR analysis of X-chromosomal inactivation patterns enables the detection of clonal cell populations in heterogeneous tissues. Studies of clonality in borderline cases between reactive and neoplastic proliferations or premalignant lesions are made possible by this technique.
authors.affiliation: Institut für Pathologie, Universität Würzburg.
authors.forename: H
authors.initials: H
authors.lastname: Feist
authors.forename: R
authors.initials: R
authors.lastname: Lilischkis
authors.forename: C
authors.initials: C
authors.lastname: Hallas
authors.forename: J J
authors.initials: JJ
authors.lastname: Aanesen
authors.forename: A
authors.initials: A
authors.lastname: Gassel
authors.forename: K C
authors.initials: KC
authors.lastname: Gallert
authors.forename: H
authors.initials: H
authors.lastname: Kreipe
mesh_terms: D001943:Breast Neoplasms / Q000235:genetics* / Q000473:pathology*; D002455:Cell Division; D004210:Dissection / Q000379:methods; D005260:Female; D006801:Humans; D007834:Lasers; D010735:Phosphoglycerate Kinase / Q000235:genetics; D016133:Polymerase Chain Reaction / Q000379:methods; D011944:Receptors, Androgen / Q000235:genetics; D014960:X Chromosome
chemical_list: D011944:Receptors, Androgen; D010735:Phosphoglycerate Kinase
vernacular_title: Klonalitätsanalysen in Geweben durch PCR und Laser-Mikrodissektion.